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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 967274 |
VAERS Form: | 2 |
Age: | 27.0 |
Sex: | Female |
Location: | New York |
Vaccinated: | 2021-01-01 |
Onset: | 2021-01-06 |
Submitted: | 0000-00-00 |
Entered: | 2021-01-23 |
Vaccination / Manufacturer (2 vaccines) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | - / UNK | - / - |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / UNK | - / - |
Administered by: Private Purchased by: ??
Symptoms: Malaise, Foetal death, Exposure during pregnancy, SARS-CoV-2 test
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Covid19
CDC 'Split Type':
Write-up: I was pregnant and my baby died two days after I took it and I got really sick
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